xRead - Nasal Obstruction (September 2024) Full Articles

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328

International consensus statement on rhinosinusitis

(Continues)

The diagnosis of CRS based on symptom criteria is insufficient overall

subjective symptomatology and CT imaging for a CRS diagnosis. There was no significant difference

between symptom severity and CT positivity

A majority of patients with symptom-based CRS had no CT and endoscopic pathology. Two major

symptoms were insufficient for diagnosis.

Total symptomatology scores were similar, though specific symptom prevalences differed between groups.

criteria from the Task Force on Rhinosinusitis for

detecting a positive scan

was 89%, but the specificity was 2%

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions

47% concordance between

Sensitivity of the symptom

Symptomatology scores prior to the use of CT imaging to determine diagnostic evidence of CRS

History, physical examination including anterior

rhinoscopy and endoscopy, and upfront CT imaging

CRS diagnosis confirmation as determined by nasal

endoscopy and CT imaging

patient-reported symptoms (RSOM-31)

Presenting symptoms and CT scoring for diagnosis of CRS

Scoring of each

scanning of the sinuses (n = 115)

and radiographic evidence ofCRS

CRS-associated symptoms without radiographic evidence of CRS

Stankiewicz 531 2002 3 Cohort study Patients meeting subjective criteria for definition of CRS

Tahamiler 563 2007 3 Cohort study CRS-associated symptoms andatopy

CRS-associated symptoms without atopy

Dietz de Loos 564 2013 4 Case-control study CRSwNP CRSsNP

Bhattacharyya 516 2006 3 Cohort study CRS-associated symptoms

Hwang 513 2003 3 Cohort study Patients undergoing CT

TABLE IX-2 (Continued)